A client with cystic fibrosis (CF) presents with clubbed fingers during a routine examination. What should the nurse explain to the client regarding the significance of clubbing in CF?
"Clubbed fingers are a common cosmetic concern but do not indicate any medical issues in CF."
"Clubbing of the fingers can be a sign of advanced lung disease or decreased oxygen levels in CF."
"Clubbing occurs as a result of excessive sodium intake, which is often seen in CF patients."
"Clubbing is primarily associated with digestive problems in CF and does not affect the respiratory system."
The Correct Answer is B
A) Incorrect. Clubbed fingers in CF can be more than a cosmetic concern and may indicate underlying medical issues.
B) Correct. Clubbing of the fingers can be associated with advanced lung disease or reduced oxygen levels in CF.
C) Incorrect. Clubbing is not related to excessive sodium intake in CF patients.
D) Incorrect. While CF can affect the digestive system, clubbing of the fingers is primarily associated with respiratory issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect. CF primarily affects the pancreas and small intestine, not the stomach.
B) Incorrect. While liver complications can occur in some individuals with CF, such as liver disease or cirrhosis, it is not a primary manifestation of the disease.
C) Correct. CF often results in thickened mucus obstructing the pancreatic ducts, causing pancreatic insufficiency and malabsorption of essential nutrients.
D) Incorrect. CF primarily affects the pancreas and small intestine rather than the large intestine, and chronic constipation is not a typical symptom of CF.
Correct Answer is D
Explanation
A) Incorrect. The sweat chloride test is used for CF diagnosis, but it does not analyze genetic mutations.
B) Incorrect. Chest X-rays are used to assess lung changes but do not directly confirm CF by analyzing genetic mutations.
C) Incorrect. Pulmonary function tests assess lung function but do not confirm CF by analyzing genetic mutations.
D) Correct. Genetic testing is a diagnostic procedure commonly used to confirm CF by analyzing the specific CF gene mutations present in an individual.
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